Individual
JEFFERY SCOTT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 400, COLUMBIA, SC 29203-8004
(803) 765-0871
(803) 765-9215
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27838
SC
2086S0129X
Vascular Surgery Physician
27838
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
27838
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278381
—
SC
Enumeration date
03/09/2006
Last updated
03/29/2019
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